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Customer Service Representative
The Cigna Group. Respond to customers and providers regarding serviced products .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service operations, particularly in handling precertification calls and provider verification. Proficient in maintaining call center statistics and ensuring quality service standards while managing multiple tasks in a fast-paced environment.
Highest-signal resume keywords
Medical Coding And Billing KnowledgeCall Center ExperienceStrong Written And Verbal Communication SkillsAnalytical And Attention To DetailOrganizational And Time Management Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Precertification Call HandlingDocumentation Process Skills40 WPM Typing SpeedCall Center Statistics MaintenanceQuality Assurance Protocols
Soft Skills
Service-OrientedProblem-Solving SkillsAttention To Detail
Tools & Technologies
MS Applications
Certifications & Qualifications
High School Diploma Or GED
Industry Keywords
Service Operations EnvironmentCustomer Service ExpectationsProvider VerificationThird-Party Administrator ClientsFast-Paced Environment
About the role
Key responsibilities & impact- Respond to customers and providers regarding serviced products
- Maintain call center statistics, including Average Speed of Answer, After Call Work, and Schedule Adherence
- Handle precertification calls from healthcare professionals and Third-Party Administrator clients
- Assist customers with provider verification
- Handle incoming calls for precertification and provider network status
- Document precertification calls appropriately
- Handle incoming fax and mail inquiries for precertification or provider status
- Handle web requests and emails from internal and external contacts
- Maintain appropriate audit results and call protocols
- Maintain appropriate phone states and quality of service to meet customer service expectations
Requirements
What you’ll need- High School diploma or GED required
- 2 to 3 years' experience in a service operations environment, preferably a call center environment
- Knowledge of Medical Coding and Billing
- Articulate, service-oriented, and accurate documentation process skills
- Analytical, attention to detail, and quality-oriented
- Strong organizational and time management skills
- Strong written and verbal communication skills
- Knowledge of MS applications
- Problem-solving skills
- Ability to manage multiple tasks and work under pressure in a fast-paced environment
- 40 WPM typing speed
- Home internet connection through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload, if working at home
Benefits
Comp & perks- Annual bonus plan eligibility
- Medical, vision, and dental benefits starting on day one
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Remote work arrangement